Inspection on 04/01/06 for Weka House

This inspection was carried out on 4th January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 5 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Weka House 25/06/07

Weka House 08/06/06

Weka House 30/08/05

Weka House 11/09/04

Weka House 06/05/04

Similar services:

Townley Road, 2-3

Foxley Lane (121a)

Tudor Lodge

Stacey Street Nursing Home

Delrose House Ltd

Clovelly House Residential Home Ltd

Abbey Road [53]

Cherry Tree House

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 Weka House 4 Elsden Road London N17 6RY Lead Inspector Mr Teferi Degeneh Unannounced Inspection 4th January 2006 09:45 Weka House DS0000010794.V265622.R01.S.doc Version 5.0 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Weka House DS0000010794.V265622.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Weka House DS0000010794.V265622.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Weka House Address 4 Elsden Road London N17 6RY Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 020 8808 8428 020 8808 3748 akwahouseltd@aol.com Mr Alexio Kadira Mr Alexio Kadira Care Home 4 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (4) of places Weka House DS0000010794.V265622.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 30th August 2005 Brief Description of the Service: Weka House is a care home located in a residential area of Tottenham, near Bruce Grove and near a park. It is registered to provide a service for up to four people with a mental disorder. Mr Alexio Kadira is the proprietor and has been the registered manager of the home. Mr Kadira has a similar care home close to this home. He has recently opened another home for which he is registered to be the manager. This means that Weka House has effectively no registered manager. The home is an ordinary terraced house, on a domestic scale and fits in well with the surrounding area. Each service user has a single bedroom and one of these has en suite facilities. The communal facilities in the home include a bathroom with a shower, two toilets, a lounge, a dining area, a kitchen and a rear garden. Weka House DS0000010794.V265622.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was conducted over a period of 6 hours, commencing at 09.45 am and concluding at approximately 03.45 pm. Mr Terrence Muzamhindo, Care Co-ordinator, and Mr Jade Bortey, Care worker, were present throughout the inspection. The inspection activity undertaken included a tour of the building, the examination of service users’ files including care records, the examination of health and safety records, the viewing of staff rotas and discussions with both members of staff. On this occasion the staff files were not assessed as the key to the filing cabinet was kept with the assistant manager, who was off duty. What the service does well: What has improved since the last inspection? What they could do better: One requirement that has not been met from the last inspection has been restated in this report. In the ‘Timescale for Action’ column, the date in ordinary type relates to the timescale given at the last inspection. The date in bold type relates to the new timescale. Further information about the unmet requirement can be found in the relevant standard. Weka House DS0000010794.V265622.R01.S.doc Version 5.0 Page 6 Four new requirements have been identified during this inspection and they are as follows: The registered person needs to record all complaints made by service users. Records of the investigation process and the outcome must also be kept at the home. The management arrangement of the home is not clear with the intended resignation of the registered manager. There is a need to for the provider to employ a manager who can apply to the CSCI for registration. The certificate of registration needs to be displayed prominently in the home. The rota should be sufficiently clear to show the staff who actually work in the home. Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Weka House DS0000010794.V265622.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Weka House DS0000010794.V265622.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Service users can be confident that their admission to the home is based on the outcome of their needs assessment and the ability of the home to meet these needs. EVIDENCE: There have been no new admissions since the last inspection. It is evident from the home’s admissions procedure and service users’ files that assessments have been received for all service users. A service user spoken to said that their social worker and other health professionals have been involved in their assessment. Discussions with a service user and the responsible persons indicated that assessments are currently being carried out to see if service users can move to a more independent accommodation. Weka House DS0000010794.V265622.R01.S.doc Version 5.0 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, and 9 The assessments and service users’ plans are comprehensive in identifying the needs of service users and specifying how these needs are met. The risk assessments are detailed and up-to-date, and service users are reassured that procedures are in place to minimize and eliminate possible risk to their wellbeing. EVIDENCE: The files of the three people who currently live at the home were examined. Each file has evidence of up-to-date care plans. It was evident that service users, representatives and relevant professionals have been involved in review meetings. A service user spoken to confirmed that they met with staff and professionals to discuss their care needs. The responsible persons stated that all the people who live at the home have front door and bedroom keys. Service users are able to get up at time of their choice. Risk assessments have been completed and regularly updated for all the people who live at the home. Discussions with the responsible persons and a service user, and an assessment of the service user files indicated that service users are able to undertake house chores including cleaning rooms and cooking their meals. A service user said that they are able to plan and carry out shopping in the supermarkets. Weka House DS0000010794.V265622.R01.S.doc Version 5.0 Page 10 Weka House DS0000010794.V265622.R01.S.doc Version 5.0 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 14, 15, and 17 The social and leisure activities at the home are adequate. Service users are engaged and have benefited from the activities they are supported to take part within the home and outside the home. The arrangements for service users to have visitors have enabled them to see friends and families privately in their rooms. The meals provided at the home are satisfactory. Service users have a choice of what and when to eat. EVIDENCE: During a discussion with a service user it became apparent that the home has supported them to find a job. The service user said they go to work five days a week and they enjoy it very much. The files and discussion with the responsible persons showed that service users are encouraged to access activities. There is an activities co-ordinator who comes to the home to support people to choose and participate in appropriate activities. All the people who live at the home can travel independently. Service users’ records and discussions with the responsible persons indicated that service users go to shops and cafés as and when they want. A service user said they have been Weka House DS0000010794.V265622.R01.S.doc Version 5.0 Page 12 away on a holiday with a friend. It was clear from discussions that service users are visited by their friends and relatives. A service user said that the home has permitted their friend to stay overnight occasionally. All the people who live at the home are involved in choosing, shopping and preparing their meals. A service user spoken to said that the home gives them a weekly food allowance which they use to buy food items of their choice. They said they are happy with the arrangement. Weka House DS0000010794.V265622.R01.S.doc Version 5.0 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, and 20 There are satisfactory systems in place to ensure that service users receive appropriate health care. The systems for the administration of medication are good with clear arrangements being in place to ensure service users’ medication needs are met. EVIDENCE: All service users are registered with their own general practitioners. Service users’ files and the home’s diary have evidence that service users have access to health care services. An examination of the files indicated that service users have seen psychiatrists, psychologists and general practitioners. It was evident from records that appointments have been made for service users to see opticians and dentists. Medication is kept locked in the office on the ground floor. The medication administration record sheets and the medicines were checked and were found to be in order. The staff files were not assessed, however, the responsible person confirmed that all staff who administer medication have attended training on handling and administration of medication. Weka House DS0000010794.V265622.R01.S.doc Version 5.0 Page 14 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): The home has satisfactory systems in place to ensure that service users are protected from abuse. The complaints procedures are clear and service users know who to complain to. However, the process of recording and investigation of complaints need to be clear in order to reassure complainants that their issues are thoroughly investigated and appropriate actions taken. EVIDENCE: No complaints have been recorded since the last inspection. A service user spoken to said they are aware of their right to make a complaint. They said they have made one complaint to the registered person and this has been dealt with. As this complaint was not recorded in the complaints book, it was not possible for the inspector to check the procedures the procedures that have been followed to resolve the issue. However, there was a reference in the service user’s file that a complaint was made. The inspector discussed with the responsible persons that all complaints need to be investigated following the home’s complaints procedure. The home has a policy and procedures on the protection of vulnerable adults from abuse. A copy of the placing authority’s policy and procedures of the protection of vulnerable adults from abuse has been obtained by the home. The staff have spoken to confirmed that they have attended training on adult protection. Weka House DS0000010794.V265622.R01.S.doc Version 5.0 Page 15 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, and 30 The location of the home and the facilities within and outside the home are good and service users feel that they live in a clean and comfortable home. EVIDENCE: The electric switch in the kitchen and the carpets in the corridor have been replaced as required at the last inspection. The home was clean, tidy and free from offensive odours. A service user said they were able to keep their bedroom clean. The home is located in a residential area of Tottenham, near Bruce Grove and near to a park. Shops, cafés and transport facilities are very close and within walking distance from the home. The service user spoken to said they are happy with the home but they would like to move to a place of their own where they can live more independently. It was evident from discussions with the responsible persons and an examination of service user files that service users needs are assessed to see if they can move on to live in a place of their own with an appropriate support. Weka House DS0000010794.V265622.R01.S.doc Version 5.0 Page 16 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 33, and 34 The staffing level and the recruitment procedures of the home are satisfactory. These ensure that service users are supported by adequate number of who are adequately vetted in terms of their suitability to care for them. The discrepancy between the rota and the actual number of staff seen at the home on the day of the inspection shows that service users are not sure how many staff are available to support them on certain days. EVIDENCE: The staff files, which were kept in a locked filing cabinet, were not assessed, as the assistant manager and the registered person were not at the home during the time of the visit. However, it was evident from discussions with the responsible persons that no new members of staff have been employed since the last inspection. It was reported at previous inspection that the home has a recruitment procedure and all staff employed have a CRB certificate. From an action plan submitted to the CSCI, it was clear that the files of all staff are kept at the home. The rota, which was assessed, showed that a minimum of one member of staff is on shift at all times. It was clear from discussions with the responsible persons and an assessment of previous rotas that extra staff, for example, the activities co-ordinator, works at the home as an additional member of staff as required. The registered person is also on the rota to cover shifts from Monday to Friday between 8 am to 5 pm. Despite the information given on the rota, the registered person was not at the home during the inspection. It was also evident from discussions with responsible persons that Weka House DS0000010794.V265622.R01.S.doc Version 5.0 Page 17 the registered person did not work at the home the day before the inspection, contrary to the home’s roster. Weka House DS0000010794.V265622.R01.S.doc Version 5.0 Page 18 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, and 42 The registered person is yet to make progress regarding the recruitment of a manager who can apply to the CSCI for registration. The certificate of registration has not been prominently displayed for service users and visitors to see the conditions of registration. The work undertaken with regard to the consultation of service users is encouraging. However, it remains that the registered person needs to consult with all relevant bodies and ensure that the outcome of the consultation is analysed and a plan of action put in place. Service users can be confident that necessary precautions are undertaken to ensure their health and safety while staying at the home. EVIDENCE: The provider, who is also the registered manager, sent an email to CSCI regarding his intention to resign from his management responsibility at this home so that he can be registered to manage a new home which was due to open. In the email he stated that he has begun the process of seeking a fulltime manager for Weka House. As the provider was not available it was not possible to check the progress made to appoint a manager for the home. It Weka House DS0000010794.V265622.R01.S.doc Version 5.0 Page 19 was noted during the tour of the premises that the registration certificate was kept in the office too high on the wall to be seen by visitors. It was seen at the last inspection that the registered person has consulted service users regarding their views of the quality of facilities and services. The registered person is yet to consult relevant visitors and put in place an action plan as part of the quality assurance process. There have been no recorded incidents/accidents since the last inspection. The registered person has complied satisfactorily with the requirement that the electric switches in the kitchen and the carpets in the corridor are repaired or replaced. An environmental health officer visited the home on 12/7/05 and stated that no action was required in the kitchen and associated areas inspected. The gas boiler was tested on 26/1/05 and portable electrical appliances were checked on 21/7/05. Emergency lights are tested regularly. The fire alarm system was dated 25/7/05. As stated above the premises were clean and tidy on the day of the inspection. Weka House DS0000010794.V265622.R01.S.doc Version 5.0 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X 3 X X X Standard No 22 23 Score 2 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 X 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X X X X 3 LIFESTYLES Standard No Score 11 X 12 3 13 X 14 3 15 3 16 X 17 Standard No 31 32 33 34 35 36 Score X X 2 3 X X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Weka House Score X 3 3 X Standard No 37 38 39 40 41 42 43 Score 2 X 2 X X 3 X DS0000010794.V265622.R01.S.doc Version 5.0 Page 21 Yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA22 Regulation 22(3); Sch. 4(11) Requirement The registered person must ensure that any complaint made under complaint procedure is recorded in a complaints book and is fully investigated. Records must be kept of the procedures followed and the outcome of the complaints investigation. The registered person must keep in the home a copy of the duty roster of persons working at the home, and a record of whether the roster was actually worked. The registered person must ensure that a manager is appointed to run the home and that an application for registration is submitted to the CSCI by this individual. The certificate of registration of the home must be displayed prominently in the home. The registered person must consult service users and visitors about the quality of services and facilities provided at the home. The feedback obtained through the quality assurance must be summarised with action plans and made available to all DS0000010794.V265622.R01.S.doc Timescale for action 31/03/06 2 YA33 17(2); Sch. 4(7) 31/01/06 3 YA37 9(1)(2) 31/03/06 4 5 YA37 YA39 4; 5; 17; Sch. 4 24(1)(2) 31/01/06 31/03/06 Weka House Version 5.0 Page 22 stakeholders including the CSCI. Timescale of 31/12/05 not met. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Weka House DS0000010794.V265622.R01.S.doc Version 5.0 Page 23 Commission for Social Care Inspection Southgate Area Office Solar House, 1st Floor 282 Chase Road Southgate London N14 6HA National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Weka House DS0000010794.V265622.R01.S.doc Version 5.0 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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